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NBCOT Domain Two Prep > Chunk One > Flashcards

Chunk One Flashcards

1
Q

goniometer:

A

measurement instrument for evaluating joint range of motion: accuracy is ensured through following standardized procedures including

client position
positioning of the instrument

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2
Q

normal range of motion for the cervical spine

A

degrees of measurement include:

flexion 0-45
extension: 0-45
lateral flexion: 0-45
rotation: 0-60

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3
Q

ROM thoracic and lumbar

A

flexion: 0-80
extension: 0-30
lateral flexion: 0-40
rotation: 0-45

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4
Q

ROM shoulder:

A

flexion: 0-170
extension: 0-60
horizonational ABduction: 0-40
horizontal adduction: 0-130
internal rotation:0-70
external rotation: 0-90

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5
Q

ROM elbow and forearm

A

flexion: 0-135/150
supination: 0-80/90
pronation: 0 -80/90

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6
Q

ROM wrist:

A

flexion: 0-80
extension: 0-70
ulnar deviation: 0-30
radial deviation: 0-20

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7
Q

ROM thumb:

A

MP flexion: 0-90
IP Flexion: 0-80/90
ABduction: 0-50

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8
Q

ROM fingers:

A 
MP flex: 0-90
MP hyperextension: 0-15/45
PIP flex: 0-110
DIP flex: 0-80
ABduction: 0-25
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9
Q

ROM hip:

A

flex: 0-120
ext: 0-30
AB: 0-40
add: 0-35
IR: 0-45
ER: 0-45

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10
Q

ROM knee:

A

flexion: 0-135

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11
Q

ROM: ankle and foot

A

plantar flex: 0-50

dorsiflexion: 0-15
inversion: 0-35
eversion: 0-20

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12
Q

manual muscle testing:

A

structured approach to measure muscle strength adn apply a muscle grade to the maximal effort put forth :

grading scale range: 0-5 to normal 5/5

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13
Q

muscle grade 0/5

A

no active movement noted

no muscle contraction observed or palpated

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14
Q

muscle grade 1/5

A

trace movement observed and palpated

no active movement noted, but muscle contraction is observed or palpated

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15
Q

muscle grade 2/5

A

poor strength observed where movement is noted only in a gravity minimized plane

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16
Q

2- / 5 MMT

A

able to initiate movement in gravity-minimized plane

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17
Q

2 / 5

A

poor: incomplete ROM in gravity minimized plane

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18
Q

2 + / 5

A

complete ROM in gravity minimized plane

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19
Q

muscle grade 3 /5

A

assigned for: fair strength observed where movement isn noted against graviety

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20
Q

3 - / 5

A

incomplete ROM against gravity

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21
Q

3 / 5

A

full ROM against gravity with no resistance applied

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22
Q

3 + / 5

A

full ROM against gravity and slight resistnace

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23
Q

muscle grade 4 / 5

A

muscle grade assigned for:

- good strength observed with full ROM against gravity and moderate resistance

24
Q

5/5

A

normal strength observed with full ROM against gravity and maximal resistance

25
Q

dependent

A

level of assistance where a client needs >75% verbal or physical assistance to complete a task or is unable to perform any component of the task

26
Q

maximal assistance

A

level of assistance where a client needs 50-70% verbal or physical assistance to complete a task

27
Q

moderate assistance

A

level of assistance where a client needs 25-50% verbal or physical assistance to complete a task

28
Q

minimal assistance

A

level of assistance where a client needs <25% verbal or physical assistance to complete a task

29
Q

stand by assistance

A

level of assistance where a client requires caregiver or practitioner assistance to be within arms reach to safely complete a task

30
Q

independent

A

level of assistance where a client requires zero physical or verbal assistance to safely complete a task

31
Q

supervised

A

level of assistance where a client requires occasional verbal assistance to safely complete a task

32
Q

modified independence

A

level of assistance where a client requires use of adaptive equipment or increased time to complete a task

33
Q

ASIA impairment scale: AIS

A

classificaiton system used to determine level of impairment to the spinal cord after an injury

34
Q

results of ASIA are based on:

A

sensory testing of each dermatome for right and left sides

MMT for right and left sides

35
Q

ASIA A

A

complete lesion with no motor or sensory function preserved in the sacral segments S4 - S5

36
Q

ASIA B

A

incomple lesion with sensory but no motor function preserved below with neurological level; includes the sacral segments S4 - S5

37
Q

ASIA C

A

incomplete lesion with motor function preserved below the neurological level
more than half of key muscles below the neurological level have

38
Q

ASIA D

A

incomplete lesion with motor function preserved below the neurological level
at least half of key muscles below the neurological level have a muscle grade of 3 fair or more strength

39
Q

ASIA E

A

normal motor and sensory function

40
Q

Rancho Los Amigos: Level 1

A

no response: total assistance

no change in behavior when presented with any form of stimuli

41
Q

Rancho Los Amigos: Level 2

A

generalized response: total assitance

generalized reflex response to painful stimuli
responses may be delayed
responds to repeated auditory stimuli with increased or decreased activity

42
Q

Rancho Los Amigos: Level 3

A

localized response: total assistance

response to discomfort by pulling tubes or drains
blinks when bright light crosses visual field
inconsistent response to simple commands

43
Q

Rancho Los Amigos : Level 4

A

confused/agitated: maximal assistance

alert and in a heightened state of activity
absent short term meory
purposeful attempt to remove restraints or tubes
may exhibit aggressive behavior

44
Q

Rancho Los Amigos: Level 5

A

confused, inappropriate nonagited: Maximal Assistance

not oriented to person, place, or time
may wander
unable to learn new information
inappropriate use of objects without redirection

45
Q

Rancho Los Amigos: Level 6

A

confused, appropriate: moderate assistance

inconsistent orientation to person place and time
supervision needed for old learning
may attend to a familiar task in a distraction -free environment fr up to 30 minutes with moderate redirection

46
Q

Rancho Los Amigos: Level 7

A

automatic, appropriate: minimal assistance for daily livign skills

minimal supervision for new learnign
may attend to a familiar task in a distraction -free environment for up to 30 minutes with minimal redirection
overestimates abilities
minimal supervision for safety in home and community routines

47
Q

Rancho Los Amigos: Level 8

A

puposeful, appropriate: stand-by assistance

stand-by assistance for daily livign skills to take corrective action when impairments interfere with task completion
independently attends to and completes familiar tasks for one hour
independent once a new activity is learned

48
Q

Ranchos Los Amigos: Level 9

A

purposeful appropriate stand by assistance on request

stand-by assistance on request when impairments interfere with task completion
can shift between tasks and can attend for minimum of 2 hours uses assistive memory devices
able to monitor appropriateness of social interaction with stand-by assistance

49
Q

Rancho Los Amigos: Level 10

A

purposeful appropriate: modified independent

can independently handle multiple tasks simultaneously, but may requires occasional breaks
accurately estimates skills and abilities and independently adjusts task demands
social behaviors are consistently appropriate

50
Q

Allen Cognitive Level 1: automatic actions

A 
reflexive responses 
responsive to internal stimuli 
impaired awareness of time and place
global cognition impaired 
maximum assistance for ADL
51
Q

ACL 2: postural actions:

A

awareness of gross motor movement s
global cognition impaired
may benefit from 1 step verbal instructions
requires 24-hour nursing care

52
Q

ACL: 3 manual actions

A

ability to manipulate objects with hands
responsive to tactile cues
repetitive actions that are not goal directed
short attention span and unpredictable behaviors

53
Q

ACL: 4 goal directed actions

A

global cognition moderately impaired
responds to tangible visual motor cues
some goal directed behaviors
can pay attention for up to 1 hour

54
Q

ACL: 5 exploratory actions

A

global cognition mild impaired
trail-and-error method used during activity
decreased ability to plan ahead and anticipate errors poor judgement and occasionally impulsive

55
Q

ACL: 6 planned actions

A

abstract thinking is intact
carry-over of learning from one session to another
anticipates errors and demonstrates ability to plan ahead
judgement and problem -solving is intact

NBCOT Domain Two Prep (3 decks)

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